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The Relationship Between Anxiety Levels and Pre-operative Sleep Quality Disorders for Spinal Anesthesia Patients Pratama, Ilham; Susanto, Amin; Budi, Martyarini
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.36

Abstract

Background: According to data, the number of surgery patients has increased significantly over time. All hospitals worldwide recorded 140 million patients in 2017, 148 million in 2019, and 1.2 million in Indonesia. Surgery might threaten a person's body, integrity, or life and generate anxiety. Patients can be anxious before surgery under anaesthesia. Chronic anxiety can create stress and sleep difficulties. People with sleep issues are young adults. Sleep disorders are conditions that cause discomfort or interfere with a desirable lifestyle due to alterations in rest patterns. Purpose: Understanding how worry affects preoperative sleep quality in spinal anaesthesia patients at Hj. Anna Lasmanah Banjarnegara Hospital. Methods: This type of research is descriptive correlation using a cross sectional design by distributing questionnaires of anxiety level (APAIS) and sleep quality (AIS). Findings: the findings regarding the anxiety levels of the 65 participants indicated that among the total of 65 respondents, 23 individuals (or 35.4%) reported having moderate anxiety. Furthermore, in terms of sleep quality disorders, moderate insomnia was reported by most respondents, comprising 28 individuals (43.1%). The significance value of p = 0.000 (<0.05) obtained from the Spearman's Rho correlation test indicates that anxiety levels and sleep quality disorders are significantly associated in preoperative spinal anaesthesia patients. Conclusion: There is a strong relationship between anxiety level and preoperative sleep quality disorders in spinal anesthesia patients.
Durasi Pencapaian Anestesi Stadium 3 Pada Pasien General Anesthesia Di RSUD Hj. Anna Lasmanah Banjarnegara Ihsan, Muhammad Galih; Budi, Martyarini; Yudono, Danang Tri
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1935

Abstract

General anaesthesia is an important part of surgery that requires the achievement of stage 3 anaesthesia effectively and safely. The duration of achieving this stage is influenced by several factors, including age, body mass index (BMI), and physical status based on the American Society of Anesthesiologists (ASA) classification. This study aims to describe the duration of achievement of stage 3 anaesthesia stages in patients with general anaesthesia at RSUD Hj. Anna Lasmanah Banjarnegara. This study used a quantitative descriptive design with a cross-sectional approach. A sample of 95 patients undergoing general anaesthesia was selected using accidental sampling technique. Data were collected through direct observation and medical record documentation, then analysed univariately in the form of frequency distribution and percentage. The results showed that the duration of achieving stage 3 anaesthesia was mostly >60 seconds in adult patients (47.3%), ASA II physical status (51,6%), and overweight BMI category (44.2%). Meanwhile, duration ≤60 seconds was more common in elderly and ASA III patients. These findings suggest that age, physical status, and BMI affect the speed of achieving stage 3 anaesthesia. Therefore, adjusting the dose and technique of anaesthesia induction based on patient characteristics is necessary to improve the safety and effectiveness of anaesthesia. Keywords : general anaesthesia, duration of anaesthesia, patient characteristics
Asuhan Keperawatan Penurunan Curah Jantung Pada Tn. S dengan Congestive Heart Failure (CHF) di Ruang Lavender RSUD dr. R. Goeteng Taroenadibrata Purbalingga Melani, Titik; Budi, Martyarini; Putranti, Dwi
Journal of Management Nursing Vol. 2 No. 1 (2022): Journal of Management Nursing
Publisher : Scipro Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jmn.v2i1.71

Abstract

Latar Belakang: Gagal jantung kongestif merupakan kondisi jantung mengalami kegagalan dalam memompa aliran darah dimana berguna untuk mencukupi kebutuhan metabolisme sel-sel didalam tubuh. Seseorang yang menderita gagal jantung dapat ditandai dengan adanya sesak nafas, mudah lelah dan batuk baik kering maupun disertai dengan berdahak. Oleh karena itu peneliti melakukan asuhan keperawatan untuk mengatasi masalah penurunan curah jantung. Tujuan: Untuk mengetahui asuhan keperawatan pada pasien dengan gagal jantung kongestif. Metode: Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus dengan pendekatan proses keperawatan. Pengambilan sampling menggunakan teknik purposive sampling. Sampelnya yaitu Tn. S umur 78 tahun di Bangsal Lavender di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Hasil: Pemberian tindakan asuhan keperawatan yang telah dilakukan oleh peneliti selama 3 hari pada tanggal 17-19 Januari 2022 diperoleh hasil bahwa evaluasi hasil dengan metode SOAP. Subjektif, pasien mengatakan nyeri dada dan sesak nafas berkurang, lelah berkurang. Objektif, pasien tampak lebih rileks, nafas cepat dan dangkal berkurang, tanda-tanda vital pasien masih dalam pantauan dengan sebagian dalam batas normal. Analisis, masalah pasien teratasi sebagian. Planning, lanjutkan intervensi (intruksikan pasien untuk melaporkan bila ada nyeri dada, monitor tanda-tanda vital secara rutin, monitor status pernafasan, monitor sesak nafas, kelelahan, takipnea, orthopnea, monitor suara nafas tambahan, monitor saturasi oksigen, monitor batuk efektif, berikan terapi nafas, posisi semi fowler dan pemberian terapi oral dan injeksi). Kesimpulan: Dapat disimpulkan penelitian pada Tn. S setelah dilakukan asuhan keperawatan selama tiga hari yaitu masalah teratasi sebagian